title: Suspension of the gluteal region with silhouette sutures.
abstract: The authors present their minimally invasive gluteopexy technique, using polypropylene 2-0 sutures with 10 absorbable polylactic cones in their distal section (Silhouette Lift, Irvine, California) to improve the anteroposterior projection of the gluteal region. Histological study of the reaction of adipose tissue surrounding the cones previously has shown that, 3 months after insertion of the sutures, fibrous scar tissue is sufficiently developed to resist the weight of the tissues. On the basis of this finding, the authors decided to perform the gluteopexy with sutures, in 2 surgical steps. During the first step, the sutures are inserted in the adipose tissue without any proximal fixation. In the second step, performed 3 months after the first procedure when the fibrous reaction is more solid, the sutures are tightened to obtain the gluteopexy. Among the advantages of this technique are its simplicity, the fact that it produces no traumatic effects, and the fact that it can be performed with local anesthetic, reducing surgical time. It is also possible to combine this procedure with lipofilling or liposuction techniques.
authors.affiliation: Dr de Benito is a plastic surgeon in private practice in Barcelona, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: de Benito
authors.forename: Roberto
authors.initials: R
authors.lastname: Pizzamiglio
mesh_terms: D000772:Anesthesia, Local; D002081:Buttocks / Q000601:surgery*; D003357:Cosmetic Techniques / Q000009:adverse effects / Q000295:instrumentation*; D004867:Equipment Design; D006801:Humans; D015187:Lipectomy; D061646:Operative Time; D017060:Patient Satisfaction; D018579:Patient Selection; D011183:Postoperative Complications / Q000517:prevention & control; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000295:instrumentation*; D050151:Subcutaneous Fat / Q000637:transplantation; D013536:Suture Techniques / Q000009:adverse effects / Q000295:instrumentation*; D013537:Sutures; D013997:Time Factors; D016896:Treatment Outcome
keywords: barbed sutures; buttock lift; buttock reshaping